Dusty's 'time' has almost come *UPDATE post #39, she's gone*
My oldest cat Dusty is just shy of 17 years old, I've had her since 1995. She's had severe osteoarthritis for several years, getting worse each year. We've had her on Cosaquin for several years and added an omega 3 supplement last year. Early this year we gave her several Metacam injections which only worked for a short while, then switched her over to Tramadol. Neither pain med is approved for use in cats. It's a big struggle to get a pill in her but we've been hobbling by for a few months now.
About a month or so ago Dusty was diagnosed with a fast heart rate and congestive heart failure and has been retaining fluids in her abdomen. We've had her on a low dose of Lasix since then. Until a couple weeks ago things had been doing halfway decent despite the prognosis, now she seems to sleep alot, drink alot of water and pees like a racehorse. She is still eating but only small amounts more frequently and she's gotten picky about what she wants to eat, so I've been letting her have treats, the adult cat food, pretty much what ever cat food she wants.
Last night was awful. She was just laying there staring off into space, her breathing seemed fast, and she wasn't much interested in being brushed. I gave her the lasix injection and sat with her quite a while. I talked with her about letting me know when it was 'time' and cried over her for about 2 hours. She was having a bad night and I honestly figured that today would be her last day with me. I tried to get a pain pill in her and she threw it up.
This morning she seemed perkier, more interested in things around her, but still doing some fast breathing. I locked the other cats up and let Dusty have run of the house before her vet appt. She seemed to appreciate it and didn't sleep all day like she had been. Although I noticed a new area she'd licked raw since I went to bed last night. She's been an obsessive groomer for years, we figure it's boredome, but this latest raw patch is huge compared to the rest.
The vet said she was retaining fluid in more than just her abdomen now, and had a very fast heart rate, 140. He said we were giving her a low dose of the Lasix and could increase it and go more often to get rid of the fluids so she could breath easier. I asked him point blank if it was cruel of me to keep her alive just because she was still eating and if it was any kind of quality of life for her. He said in a couple days we'll know if this will do anything for her and if not then it is her 'time', if it does there are other things we could try (although like many things with Dusty, they aren't actually approved for use in cats). I've decided to take her to the campground this weekend which she LOVES to go there, and schedule an appt. next Thursday to have her PTS.
I spent most of the day crying on and off. I don't want her suffering but she's got just enough faculties left that she seems better than she is. The vet said she looked 'decievingly good', meaning she's hiding alot from me. Three of my coworkers seemed to think it was her 'time' already and my mom and hubby said they would have had her PTS a few months ago.
I've never had to actually make that decision myself before. All 3 of my guinea pigs died suddenly on their own, and I've never had any other pet long enough to experience old age like this. In 1997 Dusty got sick for 2 weeks and didn't eat the whole time and we had an appt for her to be PTS but I always held out hope she'd recover, and she did. I just have to keep reminding myself, this time she won't recover, there is no miracle this time and it's very hard.
Here's a pix I took of her last night
http://i92.photobucket.com/albums/l1...1/IMG_0780.jpg
And here's the one from this morning
http://i92.photobucket.com/albums/l1...1/IMG_0789.jpg
You can see a difference in her eyes. BTW the redish stuff around her eye is where she has overflowing tears and it stains her fur badly. If I had wiped it up before taking the pix it would look alot better than that.
Anyways, any opinions or suggestions as to knowing 'for sure' when it's 'time' short of very bad suffering? I'm so indecisive on this, although the vet thinks she has at least a few more days if the lasix works.
Dusty in 1995 a day before she became my house kitty.
http://i92.photobucket.com/albums/l1...711/Dusty1.jpg
Dusty has 4 more days in my life!
Dusty was very playful and talkative all morning Fri. She even played ALOT for a cat her age and health. I think she wore herself out though because the rest of the day she was more tired than normal, and as it is she sleeps the majority of the day.
Dusty seemed to enjoy her last trip to the campground. She rode down very well, although she seemed much more tired than usual. She did stand up in her travel basket a few times for some of her favorite sights, but slept through some she usually enjoys.
In previous summers she would jump down out of the car and jog into the trailer. We don't let her jump down on her own anymore though, we set her on the ground. This time was the first time she hasn't had the strength to walk up to the trailer on her own. She did manage to walk across the deck and inside on her own though. Then as usual promply demanded her bowls be put down and filled, and checked to make sure her sandbox was in the right place.
Fri. evening she did go for a very, very short walk around the picinic table and back. In previous summers she would walk the road around our trailer, about 1/4 mile. She sat looking out the door for a while, then went under the covers of the bed and slept alot. We gave her the lasix injection and she was a good kitty as usual.
Saturday morning she demanded her wet food promptly at 5:30 a.m. and then proceded to talk to us alot. She crawled back in bed with me and layed under my covers for quite a while. She didn't seem to want to go sit on the deck or ride on the golf cart, although in my heart I was sort of dissapointed seeing as this was her very last trip. I wanted her to enjoy everything one last time, but I wasn't going to make her do anything she didn't want to do. She slept most of Saturday under the covers or under the table. She did take a few breaks for meals, drinking alot of water, peeing, and occasionally watching birds outside the door. We gave her the lasix injection and as usual she was a very good kitty about it. Again she didn't want to go sit on the deck, so we didn't make her. Later we gave her the pain pill. Amazingly enough I got it down her the first time and we promptly gave her some mac & cheese which took her mind off having just been pilled. She kept her meds down, hallalujah!! She spent the rest of the night in a drug induced daze, and lay on the foot of my bed staring at the wall until I fell alseep.
Today she promptly demanded her wet food at 6 a.m. then played with her sisal rat and beat up her catnip bag for awhile. She even kicked her 'kick-a-sock' across the kitchen! Then she was tired after about 10 minutes so she came back to bed with me for awhile. The effects of the pain pill just aren't lasting anywhere nearly as long as they used to. When I woke up to stay up but she prefered to stay sleeping until afternoon. When she did wake up she stood by the door and watched birds and butterflies for about 1/2 hour. Then she went back to bed again. We let her sleep a bit longer then when she got up for a drink, potty break and a few crunchies, we let her look around in the cupboards. She's always been a nosey cat. She was named Dusty because she likes to stick her nose into all kinds of spaces often coming out with dusty cobwebs on her whiskers.
Mom and I talked alot about all the things Dusty has always liked to do and remenised about the travels Dusty has been on and some of her neat little quirks. I was close to tears many times. Mom mentioned that I was frequently saying about how she was playing this weekend, and eating good, and enjoying some things. Mom said I was trying to talk myself out of having her PTS, and said to me "it's her 'time', she's had a very good life and she's tired and in pain, it's time to let her go" I about lost it then.
I took lots of pix of her this weekend and almost cried when I held her paw and had her 'waving' goodbye to each and every thing at the campsite and trailer.
She did well on the ride home, but only stood up when we first pulled out, and when we first got home. The rest of the time she slept in her travel basket. She used to rarely sleep on her travels. I brought her inside and right into the cpu room so she wouldn't have to contend with the othre cats sniffing her which she hates. She promptly got a drink and has been mostly sleeping in her basket ever since. She's gotten up a few times for a drink, and a couple crunchies, but basically she does look 'tired' to me. She's not eating as much as she was even a couple days ago, so I'm feeding her more wet food, and so far she's eating it better.
When I go into work tomorrow, I'm going to go ahead and sign the form to have her PTS on Thursday. I don't think on the day of her appointment, I'll be able to look her in the eyes and sign that form then. I am starting to realize I've been deluding myself as to 'how well' I thought she'd been doing, and even though I don't want to say goodbye to her I know I'm not doing her any favors by doing that, it would be for me, not her. So for these last few days she's got with me I'm spending a huge chunk of time petting her, saying goodbye, taking many pix, doing alot of crying, remenising about all the good times in the past, and helping her to enjoy every moment she has left with me. And I'm going to have to stop typing here because I'm going to drown the keyboard if I don't.
Here's some of the pix I took of her this weekend. (the red scabby spots on her legs and belly are where she's licked herself in the last few weeks and the person driving the car is my mom)
http://i92.photobucket.com/albums/l1...1/IMG_0827.jpg
http://i92.photobucket.com/albums/l1...1/IMG_0832.jpg
http://i92.photobucket.com/albums/l1...1/IMG_0857.jpg
http://i92.photobucket.com/albums/l1...1/IMG_0854.jpg
http://i92.photobucket.com/albums/l1...dustysride.jpg
http://i92.photobucket.com/albums/l1...dustyride2.jpg
http://i92.photobucket.com/albums/l1...1/IMG_0871.jpg